Transgender Care

Recommended Guidelines, Practical Information, and Personal Accounts

Gianna E. Israel and Donald E. Tarver, foreword by Joy Diane Shaffer, M.D.
Book Cover

PB: $34.95
EAN: 978-1-56639-852-7
Publication: Apr 01

HC: $44.50
EAN: 978-1-56639-571-7
Publication: Dec 97

Ebook: $34.95
EAN: 978-1-59213-817-3

304 pages
6 x 9

An outstanding reference work by specialists for the transgendered

Read the Foreword and Chapter 1 (pdf).


By empowering clients to be well-informed medical consumers and by delivering care providers from the straitjacket of inadequate diagnostic standards and stereotypes, this book sets out to transform the nature of transgender care.

In an accessible style, the authors discuss the key mental health issues, with much attention to the vexed relationship between professionals and clients. They propose a new professional role; that of "Gender Specialist."

Chapters 3, 4, and 5 provide definitive information (in the context of consulting health professionals) on hormone administration, aesthetic surgery, and genital reassignment surgery. Chapter 6 takes up the little-examined issue of HIV and AIDS among transgender people. There is also a chapter devoted to issues of transgender people of color, as well as a chapter on transgender adolescents.

The book contains a wealth of practical information and accounts of people's experiences about coming out to one's employer or to one's friends or spouse. Several essays spell out the legal rights of transgender people with regard to insurance, work, marriage, and the use of rest rooms.

The second part of the book consists of thirteen essays on a range of controversial topics. They include three personal stories of transgender life, one essay on the new academic field of Transgender Studies, two essays on legal rights, three essays on medical issues, and two essays on the origins and possible resolution of the conflicts between therapist and client. The authors have also provided useful listings of organizations, centers, and Web sites.

The book has been reviewed by a national committee of professionals and consumers, some of whose members have contributed the essays in the second part of the book.


"The title tells pretty much what this groundbreaking anthology offers: a comprehensive distillation of personal experiences and professional wisdom." Feminist Bookstore News

"Professionals who work with individuals with gender identity issues and those with gender issues themselves have long needed a comprehensive guide to treatment. Finally, it is here. Gianna Israel and Donald Tarver have done a wonderful job of putting resource material from many fields into one easy to use reference book. Transgender Care is without a doubt a breakthrough work, as it addresses issues of cultural diversity, sexual orientation, and lifestyle that have been previously overlooked or ignored in the clinical literature. The supporting essays provide practical information about employment and insurance and confront the ethical difficulties of professionals who serve as gatekeepers to those who desire treatment. The authors have done a service to caregivers and transfolk alike with this monumental work." Dallas Denney, M.A., Licensed Psychological Examiner, Executive Director, American Education Gender Information Service, Inc.

"This wonderful a comprehensive resource."Archives of Sexual Behavior

"Overall the first section of the book is probably of most use to clinicians in the field of transgender care and to individuals seeking guidance in their own care. ...the second section cover a wide variety of topics: ethics, legal rights, support systems, health insurance, facial surgery, commentaries on the recommended guidelines, transgender studies, and hormones." NWSA Journal

Visit the Gianna Israel Gender Library.

Table of Contents

Foreward by Joy Diane Shaffer, M.D.
Review Committee
Preface and Acknowledgments

Part I: Recommended Guidelines
1. Introduction
2. Mental Health
3. Transgender Hormone Administration
4. Transgender Aesthetic Surgury
5. Genital Reassignment Surgury and Gonad Removal (Castration)
6. HIV and AIDS
7. Cultural Diversity
8. Transgender Youth
9. Support Tools
10. Support Scenarios

Part II: Essays
11. Ethical Implications for Psychotherapy with Individuals Seeking Gender Reassignment – Barbara F. Anderson, Ph.D., L.C.S.W.
12. Understanding Your Rights Under San Francisco Ordinance – Larry Brinkin, Acting Coordinator, San Francisco Human Rights Commission
13. From the Perspective of a Young Transsexual – Alexis Belinda Dinno
14. You are Not Alone: A Personal Quest for a Support System – Ayme Michelle Kantz
15. A Midlife Transition – Heather Lamborn
16. Insurance and Reinbursement of Transgender Health Care – Lisa Middleton, M.P.A.
17. Facial Surgury for the Transsexual – Douglas K. Ousterhout, D.D.S., M.D.
18. What Is to Be Done? A Commentary on the Recommended Guidelines – Rachel Pollack, M.A.
19. Genital Reassignment Surgery:A Source of Happiness for my Patients – Eugene A. Schrang, M.D.
20. Over and Out in Academe: Transgender Studies Come of Age – Susan Stryker, Ph.D.
21. Transsexuality, Science, and Prophecy – Max Wolf Valerio
22. Hormones – Delia van Maris, M.D.
23. The Therapist Versus the Client: How the Conflict Started and Some Thoughts on How to Resolve It – Anne Vitale, Ph.D.
Appendix: Resources for Transgender Individuals, Families, and Professionals
About the Authors
About the Reviewers and Contributors

About the Author(s)

Gianna E. Israel has been in private practice as a Gender Specialist since 1988. She has worked with over one thousand transgendered men and women, and is also a member of the transgender community. She is a founding member of the board of the American Education Gender Information Service (AEGIS).

Donald E. Tarver II, M.D., is a San Francisco psychiatrist working in community mental health and private practice. He is Medical Director of New Leaf—a multiservice agency serving the mental health, substance abuse recovery, HIV/AIDS, and social service needs of the lesbian, gay, bisexual, and transgender communitites.